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General NPI Number Information
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NPI Number | 1184460511
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Entity Type | Individual
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Provider Name | KAYLIN MARIE CARPENTER RN
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Gender | Female
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Dates
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Enumeration Date | 07/04/2024
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Last Update Date | 07/04/2024
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Provider Practice Location Address
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Address Line | 200 SPRINGS RD
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City | BEDFORD
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State | MA
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Zip | 01730-1114
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Country | US
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Telephone | 781-687-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 7 ANDERSON DR
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City | TYNGSBORO
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State | MA
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Zip | 01879-2435
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Country | US
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Telephone | 978-856-9082
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN2367781
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License Number State | MA
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